당뇨병 환자의 만성합병증에 대한 지식, 인지된 심각성, 예방행위 실천도

Abstract

Background : This study was aimed to investigate the knowledge, perceived seriousness and adherence to preventive behavior on chronic complications of diabetes mellitus(DM). Method : The study subjects were conveniently sampled from 240 diabetic patients who were hospitalized or visited out-patient clinics, and 200 were finally selected for the study. Data were collected with self-administered questionnaire developed by researcher from July 1st to August 31st, 2003, and analysed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression at the significant level of 0.05, using SPSS Win Program(ver 10.0). Results : The level of knowledge on chronic complications of diabetes was 17.8 points(maximum 24 points). The items with the highest correct answer was 'to exercise regularly is needed for prevention', and the item with the lowest point was 'to apply lotion between toes is needed for preventing dryness. The level of perceived seriousness on chronic complications of diabetes was 12.0 points(maximum 16 points). The level of adherence to preventive behavior on chronic complications of diabetes was 55.3 points(maximum 75 points). The highest item was 'to wash the feet everyday', and the lowest was 'to walk with bare foot is good for health'. Conclusion : It was strongly recommended to prepare systematic educational programs to increase knowledge and adherence to the preventive behaviors of DM complications. Diabetic patients regularly visited outpatient clinic but they seldom take their eye examination or urine test. It was suggested that diabetic patients should be aware of the importance of regular checkup for preventing the complications of the eye and the kidney, and be provided with more opportunities to have those checkups.